Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $19.94 / $95.04	Facility		$2.87	$19.94	$95.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $23.68 / $34.47	Professional		$3.06	$23.68	$34.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $32.56 / $103.73	Facility		$4.05	$32.56	$103.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $11.99 / $26.98	Professional		$3.87	$11.99	$26.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $29.98 / $47.97	Facility		$13.37	$29.98	$47.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $52.54 / $66.00	Facility		$3.15	$52.54	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $34.69 / $45.43	Professional		$2.93	$34.69	$45.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $34.47 / $45.17	Professional		$21.43	$34.47	$45.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.30 / $29.98	Professional		$3.52	$4.30	$29.98